Surgical management of bulky mediastinal metastases in follicular thyroid Carcinoma

Research output: Contribution to journalArticle

Abstract

Follicular thyroid adenoma and carcinoma are very common. Benign and malignant lesions are usually indistinguishable from cytology alone and often require confirmatory resection. The spread of follicular carcinoma is usually hematogenous and is treated with surgery and adjuvant radioactive iodine. Very rarely, metastases occur in the mediastinum. Patients usually present with severe compressive symptoms. With proper treatment and follow-up, the prognosis for these type of thyroid malignancies is excellent. In the case presented here, our patient presented to the Universiti Kebangsaan Malaysia Medical Center with a progressively enlarging anterior neck swelling. The swelling had started 10 years before his presentation. We diagnosed him with an advanced thyroid malignancy with bulky mediastinal metastases. After extensive investigations and counseling, we chose to treat the patient with tumor excision and mediastinal metastases resection. Typically, mediastinal resection involves the removal of the sternum and use of an acrylic implant to recreate the sternum. In this case, the sternum and ribs were removed with subsequent myocutaneous flap coverage for the wound defect. Our experience represents an alternative treatment option in cases where implant use is unsuitable.

Original languageEnglish
Pages (from-to)69-72
Number of pages4
JournalOman Medical Journal
Volume31
Issue number1
DOIs
Publication statusPublished - 2016

Fingerprint

Follicular Adenocarcinoma
Sternum
Neoplasm Metastasis
Thyroid Gland
Neoplasms
Myocutaneous Flap
Malaysia
Mediastinum
Ribs
Thyroid Neoplasms
Iodine
Adenoma
Cell Biology
Counseling
Neck
Carcinoma
Wounds and Injuries
Therapeutics

Keywords

  • Follicular thyroid carcinoma
  • Free tissue flaps
  • Mediastinum
  • Thyroid cancer

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Surgical management of bulky mediastinal metastases in follicular thyroid Carcinoma. / Adwin, Zainal; Nur, Ayub; Abdullah Suhaimi, Shahrun Niza; Abdul Rahman, Mohd Ramzisham.

In: Oman Medical Journal, Vol. 31, No. 1, 2016, p. 69-72.

Research output: Contribution to journalArticle

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